Depression care services and telehealth technology use for homebound elderly in the United States
| Autor: | Bonnie Kenaley, Christine Bradway, Zvi D. Gellis, Eun Hae Kim |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Gerontology
Further education Adult Male Telemedicine Attitude of Health Personnel education Positive perception Telehealth 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Humans Negative perception health care economics and organizations Depression (differential diagnoses) Social influence Expectancy theory 030214 geriatrics Depression Middle Aged Home Care Services United States Psychiatry and Mental health Female Homebound Persons Geriatrics and Gerontology Pshychiatric Mental Health Psychology 030217 neurology & neurosurgery |
| Zdroj: | Agingmental health. 23(9) |
| ISSN: | 1364-6915 |
| Popis: | Objectives: Despite the increasing evidence for the effectiveness of telehealth technology in screening and treating depression in older adults, they have been slowly adopted by Home Health Care (HHC) agencies. Therefore, this study was conducted to determine how HHC agencies perceive and use telehealth technology for depression care among homebound older adult patients. Methods: Five-hundred-and-sixteen staff from the National Association for Homecare & Hospice (NAHC) member home health care agencies completed the online survey. Questions were asked of HHC staff regarding performance expectancy, effort expectancy, social influences, facilitating conditions, telehealth use and intention to use/continue to use telehealth. Results: The majority had a neutral or positive perception towards telehealth. However, participants from agencies that have yet to use telehealth (mean: 3.25, SD: 1.56) reported a less intention to use the technology for depression care versus those from agencies that did (mean: 4.64, SD: 1.37). This may be partially explained by the finding that only 32% perceived themselves as having the knowledge and 25% as having resources to use telehealth. Additionally, facilitating conditions and social influences were significant predictors of intention to use/continue to use telehealth for depression care (p-values < .01). Conclusion: Overall, staff had a neutral or positive perception towards telehealth. Factors such as fewer years of experience in using telehealth and a small annual budget may explain a negative perception towards telehealth. Therefore, further education and resources are needed to support telehealth use. Future studies may consider comparing telehealth programs and identifying supporting policies. |
| Databáze: | OpenAIRE |
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